FDG MOBILE (NPI# 1568073096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568073096 |
| Entity Type | Organization |
| Organization Name | FDG MOBILE |
| Practice Address |
438 S Emerson Ave Ste 231 Greenwood IN 46143-1948 |
| Practice Telephone | 3173007403 |
| Practice Fax Number | 3178519085 |
| Mailing Telephone | 3173007403 |
| Mailing Fax Number | 3178519085 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | DR. GARRETT FIORENZA (CEO) |
| Authorized Official Telephone | 3173007403 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
438 S EMERSON AVE STE 231 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471814 | White River Family Dental and Implant Center | Clinic/Center | 1638 W Smith Valley Rd Ste B, Greenwood, IN 46142-1550 | 2020-09-14 |
| 1730708157 | Amy Montefalco D.d.s LLC | Clinic/Center | 2801 Fairview Pl Ste U, Greenwood, IN 46142-1339 | 2020-04-15 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| 1982205415 | Stacy D Johnson, Dds, PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-11-02 |
| 1720693401 | Samela Family Dentistry, LLC | Clinic/Center | 1678 Fry Rd Ste B, Greenwood, IN 46142-1176 | 2020-09-10 |
| 1619586773 | Stacy D Johnson Dds PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-07-24 |
| 1538702915 | Whole Life On-site LLC | Clinic/Center | 301 Montague Ave, Greenwood, SC 29649-1939 | 2019-10-18 |
| 1205497880 | Mark E Gleixner, Dds, PC | Clinic/Center | 1678 Fry Rd Ste B, Greenwood, IN 46142-1176 | 2019-06-25 |
| 1972891687 | Shank Orthodontics, LLC | Clinic/Center | 1700 W Smith Valley Rd, Suite A-1, Greenwood, IN 46142-1599 | 2011-07-14 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.